Individual
MARK BRYAN RABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 442-2480
Mailing address
PO BOX 5270, NORMAN, OK 73070-5270
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
7923
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104941
—
MT
Enumeration date
06/01/2006
Last updated
10/11/2010
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